Individual provider Active NPI

Jason A. Keeler, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Linn, OR
National Provider Identifier
1821431727
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP175146 Issued in OR
Practice address
1880 Willamette Falls Dr
#111
West Linn, OR 97068-4652
Phone
(503) 657-1900
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP175146 OR Primary
Primary Podiatric Medicine Podiatrist 213EP1101X DP175146 OR

Addresses

Primary practice location

1880 Willamette Falls Dr
#111
West Linn, OR 97068-4652

Mailing address

1880 Willamette Falls Dr
#111
West Linn, OR 97068-4652
Phone (503) 657-1900

Other practice location 1

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 657-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810001330 OR Practitioner - Podiatry 4082908223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot Clinic LLCGroup PAC ID 7719243179, 2 clinicians

Practice addresses (Care Compare)

1880 Willamette Falls Dr
Suite 111
West Linn, OR 97068-4653
Phone (503) 657-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions42
Removal of nail tissue1259
Removal or shaving of skin growth543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Clinic LLC Primary Podiatric Medicine CurrentSince Sep 21, 2017 Accepting new patients

Locations

1880 Willamette Falls Dr
Ste 111
West Linn, OR 97068
Phone (419) 799-0164

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jason.keeler@ffcl-or.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821431727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR",
            "address_2": "#111",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684652",
            "telephone_number": "503-657-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR",
            "address_2": "#111",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684652",
            "telephone_number": "503-657-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S Wahanna Rd",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "OR",
            "postal_code": "971387735",
            "country_code": "US",
            "telephone_number": "503-657-1900",
            "fax_number": "503-657-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELER",
        "first_name": "JASON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP175146",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OR",
            "license": "DP175146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.